DEPARTMENT OF INSURANCE

Affiliations

Name	Carlson, Adam G	DOIID	813445	NAIC NPN	16900302

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	6/28/2013	12/31/2024
Active	Non Resident	Agent	Health	6/28/2013	12/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	7/16/2015
Inactive	American Continental Insurance Company	643130	Agent - Health	7/15/2013	5/31/2016
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	7/25/2013	11/20/2013
Inactive	American Retirement Life Insurance Company	706303	Agent - Health	3/5/2014	12/24/2015
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	3/5/2014	12/24/2015
Inactive	Capitol Life Insurance Company	301514	Agent - Health	8/1/2020	6/21/2024
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Health	7/25/2013	12/16/2014
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/5/2021
Inactive	Elips Life Insurance Company	301087	Agent - Health	4/19/2022	3/2/2023
Inactive	GCU	962873	Agent - Health	2/25/2019	12/16/2019
Inactive	Lumico Life Insurance Company	300354	Agent - Health	9/22/2019	1/9/2023
Inactive	Manhattan Life Insurance Company	300880	Agent - Health	3/25/2015	1/23/2019
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	5/17/2017
Inactive	Medico Corp Life Insurance Company	301777	Agent - Health	6/2/2014	12/21/2016
Inactive	Medico Corp Life Insurance Company	301777	Agent - Life	6/2/2014	12/21/2016
Inactive	Medico Insurance Company	301559	Agent - Health	8/6/2013	12/21/2016
Inactive	Medico Insurance Company	301559	Agent - Life	8/6/2013	12/21/2016
Inactive	Omaha Insurance Company	751908	Agent - Health	2/19/2014	11/22/2016
Inactive	SILAC Insurance Company	300535	Agent - Health	7/23/2013	3/26/2018
Inactive	SILAC Insurance Company	300535	Agent - Life	7/23/2013	3/26/2018
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	8/9/2018	5/8/2023
Inactive	United World Life Insurance Company	300532	Agent - Health	9/11/2019	10/22/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Spring Ins Solutions LLC	788951	Agent - Health	11/19/2019
Denied	Spring Ins Solutions LLC	788951	Agent - Life